| NPI | 1366008500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA 207621) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 207621) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2023-03-14 |