| NPI | 1720535453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP 60693815) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C-APN.0102104-C-NP) |
| 363L00000X Nurse Practitioner (Licence: NC 5011018) | |
| 363L00000X Nurse Practitioner (Licence: MA RN10004927) | |
| Enumeration Date | 2016-09-11 |
| Last Update Date | 2024-05-08 |