| NPI | 1417251216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NE 111228) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA 111097) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IA 111097) | |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2019-07-11 |