| NPI | 1164979605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022034852) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MO 2016023917) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: AR S002312) | |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MO 2016023917) | |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: AR S002312) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2022-08-31 |