| NPI | 1518719111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ID 7961569) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ID 1234) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: ID 1234) | |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-09-05 |