| NPI | 1164085619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 8176) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: CT 89547) |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2025-10-16 |