| NPI | 1649246976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1205775) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0002930-CNS) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CO 2930) | |
| 163W00000X Registered Nurse (Licence: CO 123336) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2025-07-17 |