| NPI | 1548251630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN 103594 #702) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F330925) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340487) | |
| Enumeration Date | 2005-10-29 |
| Last Update Date | 2023-03-07 |