| NPI | 1902219967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP5617) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C-APN.0002855-C-NP) |
| 363L00000X Nurse Practitioner (Licence: WA AP61437039) | |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2023-08-30 |