| NPI | 1376258384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5020599) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 133930) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2024-09-20 |