| NPI | 1205471414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61095106) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61095106) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 26772) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TN 26772) | |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2021-04-19 |