| NPI | 1588145106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA 135344) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: GA 135344) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: GA 135344) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: GA 135344) | |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-10-09 |