| NPI | 1295177293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R169381) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1043287) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024179747) | |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2022-03-25 |