| NPI | 1932792611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO MSAPN.0000028-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 787226) |
| 163W00000X Registered Nurse (Licence: GA RN272225) | |
| 163W00000X Registered Nurse (Licence: CT 178553) | |
| 363LF0000X Nurse Practitioner Family (Licence: CT 9536) | |
| 363LF0000X Nurse Practitioner Family (Licence: AZ 275117) | |
| Enumeration Date | 2021-02-14 |
| Last Update Date | 2025-06-16 |