| NPI | 1548714207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9335091) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 886235) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0104906-C-NP) | |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2025-09-11 |