| NPI | 1144659400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R164093) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MD R164093) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: MD R164093) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MD R164093) | |
| 363LS0200X Nurse Practitioner School (Licence: MD R164093) | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2017-05-25 |