| NPI | 1003587510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: NC 5015103) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5015103) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2022-10-20 |