| NPI | 1063625135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 224102) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 224102) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 224102) | |
| 207R00000X Internal Medicine (Licence: FL TRN34192) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2023-11-17 |