| NPI | 1548872641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 290690) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: AZ RN206413) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2023-11-30 |