| NPI | 1790327856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012391) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: NC 5012391) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NC 5012391) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5012391) | |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2024-08-02 |