| NPI | 1497223861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NC BAKE-FL9Z3O) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NC BAKE-FL9Z3O) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NC BAKE-FL9Z3O) | |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2021-05-05 |