| NPI | 1730813338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 226599) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0104877-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 907764) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 9271987) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1213802) | |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2025-10-10 |