| NPI | 1053096024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA 1484) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 33461) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA 1484) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 33461) | |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-06-19 |