| NPI | 1669835195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024173424) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD R206669) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: DC RN1008591) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |