| NPI | 1578917357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-133313) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: AL 1-133313) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: AL 1-133313) | |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2024-02-01 |