| NPI | 1093052995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP4889) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP4889) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ RN123822) | |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: AZ RN123822) | |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2020-09-08 |