| NPI | 1134709595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 256283) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: AZ 256283) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: AZ 256283) | |
| Enumeration Date | 2021-04-10 |
| Last Update Date | 2021-04-10 |