| NPI | 1033601356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2018021520) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018021520) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2024-04-25 |