| NPI | 1336887017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MA RN2324493) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SPO24828) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN2324493) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: PA SPO24828) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: MA RN2324493) | |
| 364SA2200X Clinical Nurse Specialist Adult Health (Licence: PA SPO24828) | |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-05-23 |