| NPI | 1639343742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP4061) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN13358) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9319197) | |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2021-08-03 |