| NPI | 1407346034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP11319) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN154744) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP11319) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-07-22 |