| NPI | 1326632811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5014260) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: NC 149239) |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-04-14 |