| NPI | 1386373801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ F06220167) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ F06220167) |
| 363L00000X Nurse Practitioner (Licence: AZ F06220167) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ F06220167) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ F06220167) | |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2023-05-05 |