| NPI | 1427739507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018557) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5018557) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5018557) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 501857) | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-11-06 |