| NPI | 1932611522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 292500) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2017038321) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2017038321) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209017369) | |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2023-08-15 |