| NPI | 1790408185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 285862) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA 285862) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA 285862) | |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |