| NPI | 1558749267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R137492) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R137492) |
| 363L00000X Nurse Practitioner (Licence: MD R137492) | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2024-08-19 |