| NPI | 1124369582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0992460-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95000641) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1027324) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95000641) | |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2018-10-17 |