| NPI | 1538161542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 600121) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 600121/88415) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 600121/88415) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 600121) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 600121) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2016-10-24 |