| NPI | 1134498710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0991141) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 20620) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 20620) | |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: CO 0991141) | |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2024-02-01 |