| NPI | 1043285091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11003995) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN1002036) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 657084) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000013553) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5010186) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003995) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2022-11-08 |