| NPI | 1730506304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R182090) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MD R182090) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R182090) | |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2023-07-25 |