| NPI | 1134832389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2023045998) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 5381679) |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2024-02-29 |