| NPI | 1649625807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA AP0881) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP08881) |
| 163W00000X Registered Nurse (Licence: LA RN82332) | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2023-02-27 |