| NPI | 1245776731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 655-33) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 113269-30) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2021-12-22 |