| NPI | 1639562333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 09910905-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201504046NP-PP) |
| 363L00000X Nurse Practitioner (Licence: NV APRN002683) | |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2019-05-20 |