| NPI | 1073183240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 262536) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN183631) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-09-12 |