| NPI | 1710540745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11001993) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11001993) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11001993) | |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |