| NPI | 1144106410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 813726) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 813726) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NV 813726) | |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-10-02 |