| NPI | 1972108298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP61177421) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0996263-NP) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: CO XXXXXXXXXXXXXX) | |
| 363LF0000X Nurse Practitioner Family (Licence: CO XXXXXXXXXX) | |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2022-11-23 |