| NPI | 1235678087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LP-0000194) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0000194) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP-0000194) | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |