| NPI | 1326353517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP5633) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP5633) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024168795) | |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2021-01-05 |