| NPI | 1396434114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 322417) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: SC 107622) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2025-09-26 |