| NPI | 1083316848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 131805) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 79655) |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2025-09-09 |