| NPI | 1043249741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 142406) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 900335) |
| 163WG0600X Registered Nurse, Gerontology (Licence: NC 142406) | |
| 363L00000X Nurse Practitioner (Licence: NC 142406) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-05-24 |