| NPI | 1407159767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5011675) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5011675) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5011675) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5011675) | |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2024-10-30 |