| NPI | 1427473172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 887159) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9430902) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 887159) | |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2021-08-13 |