| NPI | 1619337854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 083939-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP4420) |
| 363L00000X Nurse Practitioner (Licence: CO 0995243) | |
| 363L00000X Nurse Practitioner (Licence: MA RN2348561) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0995243-NP) | |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2023-02-17 |