| NPI | 1801372511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8666-33) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 8666) |
| 163W00000X Registered Nurse (Licence: WI 176020-30) | |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2022-10-26 |