| NPI | 1013455450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-118170) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-118170) |
| 363L00000X Nurse Practitioner (Licence: AL 1-118170) | |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2023-07-12 |