| NPI | 1295512283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA H176701) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IA 097609) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IA H176701) | |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2024-01-15 |