| NPI | 1396150504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R201740) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD R201740) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MD R201740) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2025-03-10 |