| NPI | 1740598432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 19030) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5006546) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 19030) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5006546) | |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2019-08-29 |