| NPI | 1093134462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R45239) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 0991102) |
| 363L00000X Nurse Practitioner (Licence: MN 5522) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0991102) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2024-02-24 |