| NPI | 1033610746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R238423) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3012124) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024177540) | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2026-03-12 |