| NPI | 1588113641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008978) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5008978) |
| 363A00000X Physician Assistant | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5008978) | |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2023-02-20 |