| NPI | 1275906984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP8193) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 14213049-4405) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP8193) | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2026-08-03 |