| NPI | 1497445647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR 224089) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AR 224089) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AR 224089) | |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2025-06-13 |