| NPI | 1912943374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP2166) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI APRN-3750) |
| 363L00000X Nurse Practitioner (Licence: CO 0101958) | |
| 363L00000X Nurse Practitioner (Licence: OR 10025714) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN106017 / AP2166) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2024-05-16 |