| NPI | 1083209035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 10783-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 238888-30) |
| 363L00000X Nurse Practitioner (Licence: WI 10783-33) | |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2024-07-03 |