| NPI | 1053589028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R174033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R174033) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R174033) | |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2018-02-21 |