| NPI | 1952944142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ 226373) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP143656) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2021-04-02 |