| NPI | 1801082979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3218) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 3218-33) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0993498-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO NP) | |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2025-12-31 |