| NPI | 1245699453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 27193) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71013185A) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11019111) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.17512-NP) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP026035) | |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2025-02-20 |