| NPI | 1740981943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: ID 60660) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 60660) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: ID 60660) | |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-04-18 |