| NPI | 1386345940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0998522-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11048457) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NM 89871) | |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2026-06-30 |