| NPI | 1992431266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5016618) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NC 5016618) |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2022-07-28 |