| NPI | 1427705029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0010505) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0048880) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP-0010505) | |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-03-07 |