| NPI | 1013594092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R275992) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: ID 65119) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2026-04-24 |