| NPI | 1861153017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H166412) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IA H166412) |
| 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: IA H166412) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: IA H166412) | |
| Enumeration Date | 2022-01-09 |
| Last Update Date | 2022-03-24 |