| NPI | 1548631658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024189213) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN194437) |
| 363L00000X Nurse Practitioner (Licence: AZ AP8065) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8065) | |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2024-07-16 |