| NPI | 1669450508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP-1086) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP-1086) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN066900) | |
| Enumeration Date | 2005-12-31 |
| Last Update Date | 2019-04-13 |