| NPI | 1043053788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 2025006727) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 2025006727) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2025-10-16 |