| NPI | 1730604851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3013233) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60781127) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60781127) | |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2020-12-07 |