| NPI | 1235713215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: DC NP1030150) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1030150) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: DC NP1030150) | |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2022-03-23 |