| NPI | 1770473605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5022543) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NC 5022543) |
| Enumeration Date | 2025-07-03 |
| Last Update Date | 2025-07-03 |