| NPI | 1134616618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5010479) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5010479) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2023-03-01 |