| NPI | 1437185329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 104274) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 990307) |
| 363L00000X Nurse Practitioner (Licence: MO 089766) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 45806) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2017-08-22 |