| NPI | 1992238166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AZ AP10021) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: AZ RN137338) |
| 363L00000X Nurse Practitioner (Licence: AZ AP10021) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2020-09-10 |