| NPI | 1669886024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 2013024627) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-096687) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 2013024627) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2024-02-15 |