| NPI | 1245998764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 66280) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-83582) |
| 363L00000X Nurse Practitioner (Licence: CO 66280) | |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2024-03-29 |