| NPI | 1366092355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA NP222758) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60954279) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2026-06-16 |