| NPI | 1770089120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R36441) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: ND R36441) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: ND R36441) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2023-12-27 |