| NPI | 1003342734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP10054) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ AP10054) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2022-10-10 |