| NPI | 1386274397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 23689) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 239287) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 23689) | |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2021-05-17 |