| NPI | 1750712725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP5309) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN128901) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP5309) | |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2020-10-05 |