| NPI | 1770715070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP3427) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN125196) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP3427) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP3427) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2024-12-13 |