| NPI | 1881130870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9340365) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA H190805) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5024497) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA 70131278) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 31994) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO 0106659) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL AG0117105) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 228742) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL AG0117105) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL AG0117105) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2026021232) | |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2026-05-27 |