| NPI | 1548649973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0992047) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 14187449-4405) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2025-04-17 |