| NPI | 1326686908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN-0995223-NP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 314237) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61602971) | |
| Enumeration Date | 2019-12-14 |
| Last Update Date | 2024-09-18 |