| NPI | 1275085854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 28310) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 9903824-4405) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2022-03-18 |