| NPI | 1225564628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP1047050) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R232351) |
| 363L00000X Nurse Practitioner (Licence: DC RN1047050) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R232351) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1047050) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704286812) | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2024-10-29 |