| NPI | 1184043721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5006836) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 196026) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5006836) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2018-03-20 |