| NPI | 1013455518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP10978) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10978) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209015522) | |
| 363L00000X Nurse Practitioner (Licence: AZ AP10978) | |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2026-08-20 |