| NPI | 1851127617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5020865) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NC 371936) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5020865) | |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-10-04 |