| NPI | 1033830062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024185026) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185026) |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-11-21 |