| NPI | 1265054464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 24569) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H183569) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5021742) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1191646) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN10022445) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP032330) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2025002510) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 239843) | |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2025-06-02 |