| NPI | 1447671920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WY 24940.1274) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WY 24940.1274) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2021-05-10 |