| NPI | 1437931508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: LA 232125) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: LA 232125) |
| 363LF0000X Nurse Practitioner Family (Licence: LA 232125) | |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2024-05-22 |