| NPI | 1306467485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-154996) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-154996) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-154996) | |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2024-01-31 |