| NPI | 1063151371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 0010-02061) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC AG05220050) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2025-10-03 |