| NPI | 1497714158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 36356) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0002558-NP) |
| 363L00000X Nurse Practitioner (Licence: CO 84215) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2025-02-25 |