| NPI | 1063290120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0010696) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP-0010696) |
| 163W00000X Registered Nurse (Licence: DE L1-0048953) | |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-10-20 |