| NPI | 1730752437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202105378NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0-999621-NP) |
| 363L00000X Nurse Practitioner (Licence: AZ 303200) | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2024-05-16 |