| NPI | 1659918753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 213925) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CO RN.1637012) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995256-NP) | |
| Enumeration Date | 2019-12-08 |
| Last Update Date | 2025-03-14 |