| NPI | 1386036390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5007282) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NC 5007282) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2024-07-15 |