| NPI | 1376601021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR A03070) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 747120) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 747120) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2025-12-10 |