| NPI | 1043841265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 903631) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MS 903631) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 903631) | |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-31 |