| NPI | 1912467523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0000279) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0042248) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431476) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP-0000279) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2020-06-26 |