| NPI | 1457829004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 219083) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 219083) |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2020-12-09 |