| NPI | 1780475657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 17019-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 152397-30) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 17019-33) | |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-07-03 |