| NPI | 1255379319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP7205) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 3-002397) |
| 163W00000X Registered Nurse (Licence: AZ RN090190) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5022355) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2025-11-03 |