| NPI | 1366906646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 7331) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 7331) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-08-14 |