| NPI | 1407360589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4006539) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WV APRN83345-AGACNP-BC) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2023-09-06 |