| NPI | 1730625963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 284882) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28185320A) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2022-12-29 |