| NPI | 1265812424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-087281) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-087281) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MS R900157) | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2020-10-02 |