| NPI | 1063195725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 907085) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 921178) |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2024-11-20 |