| NPI | 1528778719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26911) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 26911) |
| 163WA2000X Registered Nurse, Administrator (Licence: SC 225567) | |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2023-01-31 |