| NPI | 1659840767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 220794) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN166378) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 220794) | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2025-06-27 |