| NPI | 1235761115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 236617) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 236617) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 236617) | |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2022-05-03 |