| NPI | 1548764541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP11622) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN156191) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2021-09-16 |