| NPI | 1942459342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 84514) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10500) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP10500) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 84514) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10500) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 84514) | |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2026-06-25 |