| NPI | 1285335679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: WI 13955-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 196585-30) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-05-15 |