| NPI | 1376812958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO ANP.0900502) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-75521) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2025-07-22 |