| NPI | 1982047064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 53-75896-102) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 53-75896-102) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2023-01-11 |