| NPI | 1033452040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9468951) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA.14388-NP) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024171861) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2019-11-05 |