| NPI | 1659985943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: DC RN1039612) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: DC RN1039612) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2021-02-02 |