| NPI | 1467020297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5014891) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC NEYE-Y5RX5) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2024-07-01 |