| NPI | 1003388828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN04991) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN217908) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1081257) | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2026-06-12 |