| NPI | 1598438244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CT 10036) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 164098) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: CT 10036) | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-11-24 |