| NPI | 1285126813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MD R151771) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R151771) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: MD R151771) | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2019-09-27 |