| NPI | 1477197556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5012278) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 5012278) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NC 5012278) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5012278) | |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2024-04-04 |