| NPI | 1356969778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 23914) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 23914) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 23914) | |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2021-05-13 |