| NPI | 1114397957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP7997) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8195) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2020-05-18 |