| NPI | 1164098182 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 083788-23) | 
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NH 03788-21) | 
| 363L00000X Nurse Practitioner (Licence: NH 083788-23) | |
| Enumeration Date | 2021-06-01 | 
| Last Update Date | 2023-05-18 |