| NPI | 1346892866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NM 67457) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 7202) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NM 67457) | |
| 163W00000X Registered Nurse (Licence: LA RN60233) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 219309) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 7202) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NM 67457) | |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2024-03-08 |