| NPI | 1336620582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP10018) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11033849) |
| 363L00000X Nurse Practitioner (Licence: VA 0024190503) | |
| 363L00000X Nurse Practitioner (Licence: TX 1167887) | |
| 363L00000X Nurse Practitioner (Licence: OH 0036708) | |
| Enumeration Date | 2018-08-26 |
| Last Update Date | 2025-12-03 |