| NPI | 1942710447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 40548-1655) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993097-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5010868) | |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2019-02-11 |