| NPI | 1265836191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95009258) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN1033479) |
| 363L00000X Nurse Practitioner (Licence: GA RN311083) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95009258) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173488) | |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2025-12-30 |