| NPI | 1629149950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95039207) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MT NUR-APRN-APP-127568) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP114644) | |
| 163W00000X Registered Nurse (Licence: TX 545903) | |
| 163W00000X Registered Nurse (Licence: CA 351314) | |
| 163W00000X Registered Nurse (Licence: MT NUR-RN-LIC-129214) | |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2026-07-30 |