| NPI | 1164667598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3362512) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3362512) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP3362512) | |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2017-12-04 |