| NPI | 1477796233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5912) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 5912-33) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 5912-33) | |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2024-10-23 |