| NPI | 1184326985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO 0998561) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: CO 1622581) |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-04-05 |