| NPI | 1073159166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 13911) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 994840) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 994840) | |
| 363L00000X Nurse Practitioner (Licence: CO APN.0994840-NP) | |
| Enumeration Date | 2019-11-23 |
| Last Update Date | 2026-03-25 |