| NPI | 1245936970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.1000628-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP026850) |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2025-09-02 |