| NPI | 1174276711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA 257998) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA 257998) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 257998) | |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-05-13 |