| NPI | 1376198762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 112298-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0994848-NP) |
| Enumeration Date | 2019-08-03 |
| Last Update Date | 2025-10-13 |