| NPI | 1720450109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008616) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11034013) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0102519-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190649) | |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2025-01-23 |