| NPI | 1619594629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H159415) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA H159415) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H159415) | |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2024-02-18 |