| NPI | 1912399817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9303843) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: FL 9303843) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: FL 9303843) | |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2017-05-04 |