| NPI | 1073997458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN0997300NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60432092) |
| 363L00000X Nurse Practitioner (Licence: WA AP60585190) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60585190) | |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2022-12-06 |