| NPI | 1407347925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024195078) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN315306) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9325743) | |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2026-02-18 |