| NPI | 1932471034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25555) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000236371) |
| 163W00000X Registered Nurse (Licence: CO 183271) | |
| 207Q00000X Family Medicine (Licence: TN 25555) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990569-NP) | |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2023-08-27 |