| NPI | 1255806196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0994362) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1624434) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2024-04-22 |