| NPI | 1326062118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2641-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN154721) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP3176) | |
| 163W00000X Registered Nurse (Licence: WV 124924) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2025-11-14 |