| NPI | 1154752616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM CNP-02397) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 18187) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 18187) | |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2022-11-29 |