| NPI | 1235529454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MS R871326) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MS R871326) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MS R871326) | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2016-07-21 |