| NPI | 1154781532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-136708) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-136708) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-136708) | |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2018-11-07 |