| NPI | 1073917423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 24224) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 6071-33) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 24224) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 6071-33) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 24224) | |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2022-03-22 |