| NPI | 1083284343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-114479) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-114479) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2024-02-27 |