| NPI | 1417798422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2025020571) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR 228695) |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2025-07-27 |