| NPI | 1326776972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5016810) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: NC 316384) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-29 |