| NPI | 1700373107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: AZ AP11203) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner Community Health (Licence: AZ AP11203) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: AZ AP11203) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: AZ AP11203) | |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2021-10-06 |