| NPI | 1447523741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001592) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP4629) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO NP-990292) | |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2022-10-21 |