| NPI | 1861711921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA APO8507) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: LA 49882) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: LA AP08507) | |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2020-01-31 |