| NPI | 1336563279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AZ 233338) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H155116) |
| 363L00000X Nurse Practitioner (Licence: MS 901475) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: FL ARNP 9205781) | |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2021-12-07 |