| NPI | 1295276673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024188409) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704360622) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022699) | |
| 363L00000X Nurse Practitioner (Licence: PA SP017268) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP017268) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP017268) | |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2024-01-31 |