| NPI | 1598378705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AK 183261) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: AK 183261) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: HI 3010) | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2023-06-06 |