| NPI | 1255572020 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9212204) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61584948) | 
| 363L00000X Nurse Practitioner (Licence: FL A0109025) | |
| 363L00000X Nurse Practitioner (Licence: AZ 304581) | |
| 363L00000X Nurse Practitioner (Licence: CO APN.1000015-NP) | |
| 363L00000X Nurse Practitioner (Licence: OR 202001204NP-PP) | |
| 363L00000X Nurse Practitioner (Licence: HI APRN-5406) | |
| Enumeration Date | 2009-03-09 | 
| Last Update Date | 2025-08-14 |