| NPI | 1457924433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MT NUR-APRN-LIC-239188) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 9111210-4405) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 9111210-4405) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 9111210-4405) | |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2025-04-20 |