| NPI | 1093146912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV 825582) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 215258-4405) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 825582) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 215258-4405) | |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2020-11-18 |