| NPI | 1376963223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NE 111629) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61499317) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2024-03-19 |