| NPI | 1952851727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MO 2025033507) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95005136) |
| 364SG0600X Clinical Nurse Specialist Gerontology (Licence: CA 95005136) | |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2025-08-15 |