| NPI | 1255955571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MT NUR-APRN-LIC-177477) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MT NUR-APRN-LIC-177477) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2023-12-27 |