| NPI | 1386602233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 083568) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO RN083568) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 083568) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-11-05 |