| NPI | 1265248041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 2023204837) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5021335) |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2025-02-21 |