| NPI | 1235792870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA 020691) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN317849L) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2022-12-14 |