| NPI | 1124622899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-097474) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-097474) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-097474) | |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-11-24 |