| NPI | 1124049838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP1568) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AZ AP1568) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1568) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2024-02-13 |