| NPI | 1366045924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 10016545) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 28168424A) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2024-05-15 |