| NPI | 1306488978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: IN 71010367A) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: IN 28220230A) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2020-11-12 |