| NPI | 1699259002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343678) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994154-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 56323) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60909551) | |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2023-09-18 |