| NPI | 1023865029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 30774) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 242415) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2025-09-03 |