| NPI | 1144861709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR A005766) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A005766) |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2021-12-21 |