| NPI | 1801936513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209030762) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: AZ RN094538) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP5442) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2024-12-19 |