| NPI | 1588418404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 268180) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ RN.268180) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH RN.439689) | |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-09-13 |