| NPI | 1437598059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP-1629A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0121363) |
| 363L00000X Nurse Practitioner (Licence: ID N-50902-NP-1629A) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2022-03-31 |