| NPI | 1093744369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R068309) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R068309) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2025-01-23 |