| NPI | 1003201039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK 116446) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0991567-NP) |
| 363LF0000X Nurse Practitioner Family (Licence: AZ 316037) | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2024-10-28 |