| NPI | 1871569509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM CNP00512) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP7017) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP5911) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2025-08-27 |