| NPI | 1083218598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 065360-23) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 065360-23) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 065360-23) | |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-12-16 |