| NPI | 1174908420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MS R862443) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MS R862443) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS R862443) | |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2022-10-04 |