| NPI | 1902292667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5007575) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5007575) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5007575) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2024-09-16 |