| NPI | 1740993211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0100239) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1693729) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1103506) | |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2025-02-27 |