| NPI | 1982395695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: ID 72583) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: ID 72583) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: ID 72583) | |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2024-03-06 |