| NPI | 1093250870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP9756) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: AZ RN205258) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2025-12-01 |