| NPI | 1902255748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR FNP10044260) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0101422-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP131095) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5015788) | |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2025-09-04 |