| NPI | 1578088258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD AC002075) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0000208) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MD AC002075) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP-0000208) | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-12-07 |