| NPI | 1366163479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0010560) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0070348) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP-0010560) | |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-09-07 |