| NPI | 1720094592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 200350133NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 622127) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP111328) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA ap30006655) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 622127) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-04-17 |