| NPI | 1790203867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP10529) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 10529) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2019-10-07 |