| NPI | 1477165181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0104178) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AL 1-157659) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-157659) | |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2025-06-27 |