| NPI | 1396252409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP10215) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AZ AP10215) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2021-09-20 |