| NPI | 1164876645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP8796) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 144466) |
| 363LF0000X Nurse Practitioner Family (Licence: CO C-APN.0102154-NP) | |
| 363LF0000X Nurse Practitioner Family (Licence: NV 875623) | |
| 363LF0000X Nurse Practitioner Family (Licence: UT 13858693-4405) | |
| 363LF0000X Nurse Practitioner Family (Licence: KS 53-83212-021) | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2025-08-19 |