| NPI | 1740928936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 275900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2016024603) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-07-25 |