| NPI | 1558910364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: HI APRN-2697) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: VT 101-0135571) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2022-09-14 |