| NPI | 1942915137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 76837) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3018933) |
| 363L00000X Nurse Practitioner (Licence: AZ 293147) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 78565) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO CRXN.0101059-C-NP) | |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2024-03-05 |