| NPI | 1659805422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019809) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0000742-C-NP) |
| 163W00000X Registered Nurse (Licence: TN RN0000197209) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-RXN.0000303-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 22077) | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2025-09-04 |