| NPI | 1831753045 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC 1047928) | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NC 280394) | 
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 8309) | |
| Enumeration Date | 2019-04-24 | 
| Last Update Date | 2024-09-11 |