| NPI | 1730762345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 77758) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO CRXN.0100777-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95028560) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 300299) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 286329-4405) | |
| Enumeration Date | 2021-05-01 |
| Last Update Date | 2024-03-05 |