| NPI | 1285889519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 132317) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP010048) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0993133-NP) | |
| 363L00000X Nurse Practitioner (Licence: PA RN600301) | |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2023-11-27 |