| NPI | 1366627663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP10871) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 10005041) |
| 363L00000X Nurse Practitioner (Licence: CO 0101906) | |
| 363L00000X Nurse Practitioner (Licence: HI APRN-4491-0) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60045998) | |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2024-06-07 |