| NPI | 1316321284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5007852) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC AG0615123) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2024-08-07 |