| NPI | 1114141702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP2739) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN145971) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704193661) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-09-08 |