| NPI | 1558791541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 260321) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 260321) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5006623) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5006623) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5006623) | |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2016-05-05 |