| NPI | 1558058644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 229644) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: AZ 229644) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-07-12 |