| NPI | 1376720227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00835) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 5468) |
| 163W00000X Registered Nurse (Licence: NM R38231) | |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2026-03-10 |