| NPI | 1649645730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 298929) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 9171924) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP 9171924) | |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2021-02-25 |