| NPI | 1336454792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007936) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 11684) |
| 363L00000X Nurse Practitioner (Licence: CO APN0991849-NP) | |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2023-04-19 |