| NPI | 1336691815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LP-0010758) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 10019605) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2016017862) | |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2024-11-12 |