| NPI | 1407311541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-129582) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-129582) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-129582) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-129582) | |
| Enumeration Date | 2019-02-03 |
| Last Update Date | 2024-05-21 |