| NPI | 1225622384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-130607) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: AL 1-130607) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: ME cnp251503) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11012090) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 905087) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 116102-23) | |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2026-03-23 |