| NPI | 1134582174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 20058) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: SC 20058) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2022-11-09 |