| NPI | 1124663653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 8583) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 8583) |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2021-07-15 |