| NPI | 1497385157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0994812-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-85512-091) |
| 163W00000X Registered Nurse (Licence: KS 13-128214-091) | |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2026-08-04 |