| NPI | 1447751540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AZ AP11264) |
| Additional Taxonomies | 163WX0800X Registered Nurse Orthopedic (Licence: AZ RN15150) |
| 363L00000X Nurse Practitioner (Licence: AZ AP11264) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: AZ AP11264) | |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-05-08 |