| NPI | 1518442391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 202002814NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2327329) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2327329) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 202002814NP-PP) | |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2024-09-18 |