| NPI | 1982080347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704429105) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP128720) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NM CNP-02766) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NM CNP-02766) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP128720) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NM CNP-02766) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP128720) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704429105) | |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2025-06-04 |