| NPI | 1497435812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11027592) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0105846-C-NP) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2026-02-04 |