| NPI | 1902231558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 017031) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9294718) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 265357) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024189909) | |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2026-06-05 |