| NPI | 1003916990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ AP7786) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: AZ RN040573) |
| 163WW0000X Registered Nurse Wound Care (Licence: AZ RN040573) | |
| 363L00000X Nurse Practitioner (Licence: AZ AP7786) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-06-14 |