| NPI | 1215331574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: DC RN1011748) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP014297) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1011748) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP014297) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: DC RN1011748) | |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2018-01-19 |