| NPI | 1699496422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 83410) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO C-APN.0004133-C-NP) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO C-APN.0004133-C-NP) | |
| 363L00000X Nurse Practitioner (Licence: LA 231765) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CO C-APN.0004133-C-NP) | |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2026-01-05 |