| NPI | 1477197010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 58292) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 291150) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0101897) | |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2024-05-21 |