| NPI | 1699374371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ RNP248594) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C-APN.0103359-C-NP) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2025-05-12 |