| NPI | 1619415924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 3082062) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 3082062) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 3082062) | |
| 363LC1500X Nurse Practitioner, Community Health (Licence: FL 3082062) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 3082062) | |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |