| NPI | 1982870200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP4068) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: AZ RN112897) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2015-12-28 |