| NPI | 1255671731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP024205) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 22166) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2023-08-16 |