| NPI | 1760117188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CT 11003) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: CT 144463) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: NY 432470) | |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2023-01-26 |