| NPI | 1992349922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-143866) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-143866) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-143866) | |
| Enumeration Date | 2019-11-02 |
| Last Update Date | 2023-06-28 |