| NPI | 1881105245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0994982-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01711) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2025-08-08 |