| NPI | 1518335124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: IN 71005658A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71005658A) |
| 363LF0000X Nurse Practitioner Family (Licence: IN 71005658A) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: IN 71005658A) | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2024-09-30 |