| NPI | 1134529753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IN 71005103A) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: IN 71005103A) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2024-09-09 |