| NPI | 1508347279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 22342) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 242634) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 22342) | |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2022-09-22 |