| NPI | 1003482530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 078182-23) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 078182-23) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-08-04 |