| NPI | 1871800714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000761) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0990308-NP) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 5375182041) | |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2026-05-27 |