| NPI | 1235857509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 13083) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 13083-33) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2024-01-05 |