| NPI | 1215440516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024183207) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704336596) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 28864) | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2023-03-24 |