| NPI | 1477218600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 278420) |
| Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: OH RN.479437) |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2022-10-07 |