| NPI | 1407513377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 32624) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-160562) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 2022004008) | |
| Enumeration Date | 2021-11-26 |
| Last Update Date | 2022-12-28 |