| NPI | 1619530078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 218716) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C-APN.0101941) |
| 363L00000X Nurse Practitioner (Licence: HI APRN-3994) | |
| 363L00000X Nurse Practitioner (Licence: OR 10023723) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: AZ 218716) | |
| Enumeration Date | 2019-04-20 |
| Last Update Date | 2024-05-16 |