| NPI | 1831621119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 233469) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C-APN.0003377-C-NP) |
| 363L00000X Nurse Practitioner (Licence: WA AP61251855) | |
| 363L00000X Nurse Practitioner (Licence: IL 209015821) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2022-12-16 |