| NPI | 1992843072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AK 570) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 200250053) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AK 570) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2023-12-14 |