| NPI | 1366672032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0000116) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: DE L9-0000107) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP-0000116) | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2014-08-19 |