| NPI | 1124522875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: SC 22096) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NC 5010356) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2022-11-02 |