| NPI | 1801337951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LP-0000193) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0024157) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP-0000193) | |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2023-03-14 |