| NPI | 1730650268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 994340-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 10584) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP140635) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP140635) | |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2026-05-06 |