| NPI | 1982188116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 25030) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 25030) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NC 5011672) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN293433) | |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2024-07-08 |