| NPI | 1548798994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP9984) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OR 10023951) |
| 363LF0000X Nurse Practitioner Family (Licence: HI APRN-4026) | |
| 363LF0000X Nurse Practitioner Family (Licence: CO C-APN.0102071-C-NP) | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2024-05-24 |