| NPI | 1861188948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5018482) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 312559) |
| 363L00000X Nurse Practitioner (Licence: NC AG06230234) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5018482) | |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-12-18 |