| NPI | 1427454479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 19151) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: SC 19151) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NM CNS-00255) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: SC 19151) | |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: SC 19151) | |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2022-04-25 |