| NPI | 1508288069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 116360-23) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP013442) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 116360-23) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP013442) | |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2026-01-14 |