| NPI | 1366104481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 997111) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD cp002764) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2026-01-28 |