| NPI | 1467046581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 903946) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 903946) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 903946) | |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2022-11-15 |