| NPI | 1205292653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0992151-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA GAA-NP003887) |
| 363L00000X Nurse Practitioner (Licence: AZ 303571) | |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2025-09-22 |