| NPI | 1790367886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 4861573) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996449-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61627174) | |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2025-10-30 |