| NPI | 1760872550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP7582) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ AP7582) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2019-05-14 |