| NPI | 1558995589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IA H158107) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner Community Health (Licence: IA H158107) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: IA H158107) | |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-07-24 |