| NPI | 1558971390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 37370) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5019253) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 23745) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: SC 23745) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 23745) | |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2024-10-23 |