| NPI | 1528431236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP8217) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN168360) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ RN168360) | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2016-04-15 |