| NPI | 1972075497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 248864) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN262490) |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2021-01-05 |