| NPI | 1528412624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 10018726) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9165986) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61272607) | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2024-01-31 |