| NPI | 1366912164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: SC 109658) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 109658) |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2022-04-22 |