| NPI | 1437965829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 16250) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 16250-33) |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2025-06-16 |