| NPI | 1437708310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 258915) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 258915) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NC 258915) | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2021-06-14 |