| NPI | 1174774756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: FL APRN11016503) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 74898) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 74898) | |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2023-07-21 |