| NPI | 1477047363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8611-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 169131) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 8611) | |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2024-05-09 |