| NPI | 1104101344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 17455.1096) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: WY 17455.1096) |
| 363L00000X Nurse Practitioner (Licence: WY 17455) | |
| 163W00000X Registered Nurse (Licence: WY 17455.1096) | |
| 363L00000X Nurse Practitioner (Licence: CO NP-990256) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WY 17455) | |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2018-05-04 |