| NPI | 1164979605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2022034852) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: MO 2016023917) |
| 364SA2200X Clinical Nurse Specialist Adult Health (Licence: MO 2016023917) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2024-10-25 |