| NPI | 1669848420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-265859) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: VA 0024172836) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 61637) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1012558) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 9795086-4405) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11009775) | |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2025-08-11 |