| NPI | 1184229239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H160638) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA H160638) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2026-04-09 |