| NPI | 1346755196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-149581) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: AL 1-149581) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2025-05-05 |