| NPI | 1942830682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: LA 210939) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 210939) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: LA 210939) | |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2021-01-05 |