| NPI | 1043106362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO 1000891) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: CO 1695844) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: CO 1000891) | |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-07-10 |