| NPI | 1538699806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IA H112050) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: IA H112050) |
| 208600000X Surgery (Licence: IA H112050) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IA H112050) | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-07-21 |