| NPI | 1083113047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: PA AG01180040) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP018713) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2025-08-18 |