| NPI | 1265956056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3011612) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: KY 3011612) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2022-09-23 |