| NPI | 1770039646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AZ AP8784) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NM CNP-03024) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2018-07-31 |