| NPI | 1689303679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5016312) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5016312) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5016312) | |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2026-03-11 |