| NPI | 1306459417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC 23572) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 23572) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2025-07-16 |