| NPI | 1982128351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10428) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61372083) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0004738-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 13396889-4405) | |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2023-07-11 |