| NPI | 1588358253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AZ 293467) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 293467) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-09-05 |