| NPI | 1720462682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000020131) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TN 20131) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO C-APN.0000763-C-NP) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60755352) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP10067) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201703422NP-PP) | |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2026-07-17 |