| NPI | 1992981757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H104281) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA H104281) |
| 163W00000X Registered Nurse (Licence: IA 104281) | |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2020-06-23 |