| NPI | 1134664121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 64610) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN-0992607-NP) |
| 363L00000X Nurse Practitioner (Licence: WI 7364) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 846268) | |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2023-11-01 |