| NPI | 1437481769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60628135) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0990091) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 990091) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60628135) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305326) | |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2022-06-03 |