| NPI | 1508463902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0995589-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61112885) |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2023-08-14 |