| NPI | 1144689506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD AC001693) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024177645) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MD AC001693) | |
| Enumeration Date | 2016-02-14 |
| Last Update Date | 2021-07-09 |