| NPI | 1821633900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN209069) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: GA RN209069) |
| 163W00000X Registered Nurse (Licence: GA RN209069) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA RN209069) | |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2021-12-08 |