| NPI | 1023505856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0997663-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI APRN-2549) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-03-01 |