| NPI | 1699914358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R161116) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024169512) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R161116) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024169512) | |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2020-12-04 |