| NPI | 1023449121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 23113) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: SC 216045) |
| 363L00000X Nurse Practitioner (Licence: SC 23113) | |
| Enumeration Date | 2013-11-29 |
| Last Update Date | 2023-04-27 |