| NPI | 1508368994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP018407) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LP-0000238) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0000238) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP018407) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP-0000238) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP018407) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP018407) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: DE LP-0000238) | |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2021-04-14 |