| NPI | 1992310809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 256821) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN170370) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2021-09-13 |