| NPI | 1194580431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5020135) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5020135) |
| 163W00000X Registered Nurse (Licence: NC 269207) | |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-05-31 |