| NPI | 1316403108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD AG01190062) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1012436) |
| Enumeration Date | 2019-02-16 |
| Last Update Date | 2023-08-15 |