| NPI | 1528679982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 24095) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 24095) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5015705) | |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2022-04-26 |