| NPI | 1124626064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0010822) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LP-0010822) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP022433) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP-0010822) | |
| 163W00000X Registered Nurse (Licence: DE L1-0074592) | |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2025-01-13 |