| NPI | 1336488675 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 9762) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 008151) | 
| Enumeration Date | 2013-02-06 | 
| Last Update Date | 2025-08-25 |