| NPI | 1861863672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 0992134) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 172579) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2024-03-01 |