| NPI | 1417481870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5009437) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5009437) |
| 363L00000X Nurse Practitioner (Licence: VA 0024185674) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5009437) | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2023-09-29 |