| NPI | 1407276751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006632) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5006632) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5006632) | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2026-06-19 |