| NPI | 1780475657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 17019) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 17019-33) |
| 163W00000X Registered Nurse (Licence: WI 152397-30) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 17019-33) | |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2026-05-27 |