| NPI | 1720863103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 28501) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA APRN-NP248295e67) |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2026-04-14 |