| NPI | 1326581547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP10488) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: AZ AP10488) |
| 363L00000X Nurse Practitioner (Licence: AZ AP10488) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP10488) | |
| Enumeration Date | 2016-11-19 |
| Last Update Date | 2020-09-30 |