| NPI | 1053966606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71011454A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 041445032) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209019954) | |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2022-12-27 |