| NPI | 1760858906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP8113) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7990) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2016-04-01 |