| NPI | 1730272451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R208399) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 175633) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024165364) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-10-22 |