| NPI | 1891417325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL AG09240028) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL AG09240028) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AL AG09240028) | |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2024-09-23 |