| NPI | 1124630728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 289172) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN192379) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2023-05-03 |