| NPI | 1073398160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 0999301) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: CO 1655997) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-11-28 |