| NPI | 1164988135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 222528) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 222528) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 222528) | |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2024-02-20 |