| NPI | 1164705778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 993096) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP231087) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11026273) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2264595) | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2023-06-30 |