| NPI | 1942891486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO 0996383-NP) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CO 165566) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: AK 180729) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 180792) | |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2023-10-25 |