| NPI | 1538528765 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A004671) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A004671) | 
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AR A004671) | |
| Enumeration Date | 2016-02-16 | 
| Last Update Date | 2022-09-07 |