| NPI | 1205291408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA NP206677) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN206677) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2026-05-11 |