| NPI | 1639770233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 23388) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 23388) |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2021-06-14 |