| NPI | 1326456476 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA AP07987) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN108838) | 
| 363L00000X Nurse Practitioner (Licence: LA AP07987) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP07987) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP07987) | |
| Enumeration Date | 2014-07-31 | 
| Last Update Date | 2023-10-25 |