| NPI | 1790191237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP5696) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP5696) |
| Enumeration Date | 2014-07-04 |
| Last Update Date | 2023-06-12 |