| NPI | 1336003201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA APRN-NP268381) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 268381) |
| Enumeration Date | 2025-12-15 |
| Last Update Date | 2026-04-09 |