| NPI | 1699147397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-130178) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 13063) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-130178) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-130178) | |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2024-06-06 |