| NPI | 1528408895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R065950) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R065950) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MD R065950) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-15 |