| NPI | 1164809893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP8094) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN161919) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2022-03-10 |