| NPI | 1205450897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5015463) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5015463) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5015463) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 278250) | |
| Enumeration Date | 2020-05-30 |
| Last Update Date | 2025-02-05 |