| NPI | 1598320251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-56021) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NM 56021) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NM 56021) | |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2020-02-18 |