| NPI | 1013549823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R187562) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: MD R187562) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2022-06-01 |