| NPI | 1114396231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 991964) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 991964) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 991964) | |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2025-08-28 |