| NPI | 1871894329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP4677) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.290382) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP4677) | |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2022-10-12 |