| NPI | 1831961911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11029334) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0106249-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024196475) | |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2026-04-07 |