| NPI | 1043835937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-146742) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 240347) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000027341) | |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2025-01-28 |