| NPI | 1386936946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5005167) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5005167) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5005167) | |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2023-03-07 |