| NPI | 1225571714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9370537) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 9370537) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: FL 9370537) | |
| 364SG0600X Clinical Nurse Specialist Gerontology (Licence: FL 9370537) | |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |