| NPI | 1295775468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5016201) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5016201) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2025-09-10 |