| NPI | 1013553197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-141476) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-141476) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-141476) | |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2024-12-05 |