| NPI | 1093347221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2019024686) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2019024686) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2025-08-13 |