| NPI | 1902633753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: DE LP-0010779) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0010779) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP-0010779) | |
| 163W00000X Registered Nurse (Licence: DE L1-0048887) | |
| 363L00000X Nurse Practitioner (Licence: DE LP-0010779) | |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-11-05 |