| NPI | 1053042960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5016436) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-RXN.0103147-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5016436) | |
| 163W00000X Registered Nurse (Licence: NC 320739) | |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2025-09-03 |