| NPI | 1407253248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ ap8832) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN170753) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2018-10-10 |