| NPI | 1215661939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-148125) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-148125) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-148125) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-148125) | |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2023-06-02 |