| NPI | 1659835502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 8058) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 8058) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-07-29 |