| NPI | 1992216683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 228193) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 5571) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2024-04-22 |