NPI | 1912387853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 20003) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 20003) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CO C-APN.0000803-C-NP) | |
Enumeration Date | 2015-06-05 |
Last Update Date | 2025-03-25 |