| NPI | 1730601360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN218519) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0992795-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992795-NP) | |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2025-11-05 |