| NPI | 1902349772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71013911A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1075580) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NV APRN002369) | |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2023-08-10 |