| NPI | 1700269115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP7869) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: AZ AP7869) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-17 |