| NPI | 1942485891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: ID 59073) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 643423) |
| 163W00000X Registered Nurse (Licence: AZ 161452) | |
| 163W00000X Registered Nurse (Licence: MI 4704244332) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 7710) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 17433) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 3577) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2018-08-23 |