| NPI | 1912405820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-146246) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO C-APN.0103575-C-NP) |
| 363LF0000X Nurse Practitioner Family (Licence: WV 122070) | |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2025-07-10 |