| NPI | 1558925644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 257097) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 108148) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2021-09-16 |