| NPI | 1457866261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: UT 13329804-4405) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: PA SP018027) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP018027) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN281754) | |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2024-01-30 |