| NPI | 1740535186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 7347) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 990130) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2017-01-03 |