| NPI | 1457839532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: SC 22179) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: SC 22179) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-12-07 |