| NPI | 1801860507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 301055) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 7337) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 105452) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 301055) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WY 32683.1268) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2023-03-07 |