| NPI | 1699594309 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-183526)  | 
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: AL 1-185376)  | 
| Enumeration Date | 2024-10-09 | 
| Last Update Date | 2024-12-27 |