| NPI | 1912783895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO C-APN.0102280-C-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60810574) |
| 363L00000X Nurse Practitioner (Licence: CO C-APN.0102280-C-APN) | |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2024-05-14 |