| NPI | 1285192187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-166384) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-166384) |
| Enumeration Date | 2019-03-10 |
| Last Update Date | 2021-12-08 |