| NPI | 1205043973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-067319) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD 33381068) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD 33381068) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A003945) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MD 33381068) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2022-10-20 |