| NPI | 1225650542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3014919) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: KY 1132083) |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2024-11-25 |