| NPI | 1225382906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704325198) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704325198) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308812-1) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60309068) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0994578) | |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2025-08-18 |