| NPI | 1508335159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP11430) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP11430) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP11430) | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2023-06-13 |