| NPI | 1609483106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5014081) |
| Additional Taxonomies | 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: NC 132329) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5014081) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5014081) | |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2021-02-15 |