| NPI | 1013394063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP7761) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ RN128788) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2019-04-23 |