| NPI | 1932463544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 206677) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NC 206677) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NC 206677) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2018-03-17 |