| NPI | 1053715730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 2232) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: NE 68808) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NE 2232) | |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2022-08-29 |