| NPI | 1942607650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP7441) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN162721) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: AZ AP7441) | |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2020-09-08 |