| NPI | 1972271369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 0000028635) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 904562) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 28635) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 28635) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 904562) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MS 904562) | |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2022-08-24 |