| NPI | 1083771893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP2176) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD AC007571) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CO C-RXN.0002138-C-NP) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2025-05-22 |