| NPI | 1164800629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 19872) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 271681) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 207012) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209025778) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 24196569) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP035186) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 19872) | |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2026-03-04 |