| NPI | 1952152415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: ID 9071657) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: ID 67667) |
| 163WG0000X Registered Nurse General Practice (Licence: ID 67667) | |
| 163WN1003X Registered Nurse Nutrition Support (Licence: ID 67667) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: ID 9071657) | |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2025-03-03 |