| NPI | 1437774635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: LA 213761) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: LA 213761) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: LA 213761) | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2021-06-22 |