| NPI | 1104396845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO RXN.0106199-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60908400) |
| 163W00000X Registered Nurse (Licence: CO 1674985) | |
| 363L00000X Nurse Practitioner (Licence: WA AP60909583) | |
| 363L00000X Nurse Practitioner (Licence: CO APN.0996624-NP) | |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2022-04-19 |