| NPI | 1215522396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0997374) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: CO RN.1627988) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2022-03-10 |