| NPI | 1114417789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 21515) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: SC 21515) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: SC 21515) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: SC 21515) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2019-03-12 |