| NPI | 1346580446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 26797) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 26797) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NC 243895) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC AG06200310) | |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2026-05-19 |