| NPI | 1235861832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: AZ 277285) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ 277285) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: AZ 277285) | |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2024-04-18 |