| NPI | 1275185803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 11117) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA ARNP11001953) |
| Enumeration Date | 2019-07-13 |
| Last Update Date | 2022-11-08 |