| NPI | 1710275425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0991802) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R144617) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169503) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95008678) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN221556) | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2024-09-13 |