| NPI | 1225653694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ RNP241840) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 241840) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2023-10-11 |