| NPI | 1376069435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP10423) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP10423) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP10423) | |
| Enumeration Date | 2017-08-20 |
| Last Update Date | 2018-07-26 |