| NPI | 1205394764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MT 143284) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-143284) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MT NUR-APRN-LIC-143284) | |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2025-09-09 |