| NPI | 1356968598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN-0101172-C-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2329384) |
| 363L00000X Nurse Practitioner (Licence: VT 101-0135022) | |
| Enumeration Date | 2020-07-04 |
| Last Update Date | 2023-09-27 |