| NPI | 1720144793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: ID 71650) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 45817) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 9220812) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 10000570) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2025-01-15 |