| NPI | 1497313118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD AC005711) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 25608) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 25608) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2023-12-12 |