| NPI | 1750916102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 235397) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 202002334NP-PP) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2022-11-01 |