| NPI | 1134746951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 243311) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 243311) |
| Enumeration Date | 2020-06-27 |
| Last Update Date | 2023-03-06 |