| NPI | 1184213423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 255664) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ RN211339) |
| 363L00000X Nurse Practitioner (Licence: AZ 25564) | |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2024-11-06 |