| NPI | 1316611171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 265542) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN148538) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2023-03-08 |