| NPI | 1013596170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-103771) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 904170) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2023-10-05 |