| NPI | 1366915886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-145371) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1216476) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 227014) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 0040463) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MS 903002) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 16131) | |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2026-04-16 |