| NPI | 1104069392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP3428) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN102998) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2019-01-29 |