| NPI | 1336419100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AR A03601) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: AR A03601) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: TX 697557) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: AR A03601) | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2015-10-12 |