| NPI | 1548426414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 100193) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201508795NP-PP) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO C-APN.0001649-C-NP) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5004075) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2024-01-18 |