| NPI | 1679163505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA 003670) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-154430) |
| 363L00000X Nurse Practitioner (Licence: GA GAA-NP003670) | |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2026-07-07 |