| NPI | 1881145746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP9559) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP9559) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1087537) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP9559) | |
| Enumeration Date | 2016-10-16 |
| Last Update Date | 2026-06-16 |