| NPI | 1467908533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-126515) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-126515) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-126515) | |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2022-03-23 |