| NPI | 1710305305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5007320) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5007320) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5007320) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NC 5007320) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2023-12-20 |