| NPI | 1598326456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0600X Registered Nurse Gerontology (Licence: NC 240812) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5012000) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2020-12-07 |