| NPI | 1619376266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5007030) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5007030) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: NC 5007030) | |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2021-05-27 |