| NPI | 1871140319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5012215) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 248305) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5012215) | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2023-10-17 |