| NPI | 1467022004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 257896) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 2020044450) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 2020044450) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 2020044450) | |
| Enumeration Date | 2021-06-27 |
| Last Update Date | 2022-12-13 |