| NPI | 1992730527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP1595) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP 4166) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 764823) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-10-05 |