| NPI | 1528524758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 39448) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN291292) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CO C-APN.0001394-C-NP) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO C-APN.0001394-NP) | |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2025-10-06 |