| NPI | 1265953756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9291427) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL AG05170038) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL AG05170038) | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2019-09-03 |