| NPI | 1972166064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA 259836) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 259836) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA 259836) | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2020-10-18 |