| NPI | 1659857779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 263539) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95011328) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: HI 2470) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 263539) | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2022-12-12 |