| NPI | 1447327002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: AZ 251763) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024166586) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CO NP 10274) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2021-11-19 |