| NPI | 1972190882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996536-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R049295) |
| 363L00000X Nurse Practitioner (Licence: CO 0996536) | |
| Enumeration Date | 2020-12-26 |
| Last Update Date | 2025-07-08 |