| NPI | 1821404070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA 122787) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 19483) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11025160) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5017783) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA 122787) | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2023-05-01 |