| NPI | 1235520818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 20303) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5007470) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5007470) | |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2019-10-14 |