| NPI | 1063174605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MS 906335) |
| Additional Taxonomies | 163WX0800X Registered Nurse Orthopedic (Licence: MS 909612) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: MS 906335) | |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2023-10-25 |