| NPI | 1598542482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 10047418) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 998962) |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2025-11-20 |