| NPI | 1073957205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5008799) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R197383) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R197383) | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2016-08-11 |