| NPI | 1073025730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA GAA-NP001129) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 221899) |
| 363L00000X Nurse Practitioner (Licence: WI 13711-33) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 3-001563) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 29903) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 39187) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1099152) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5021584) | |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2026-07-02 |