| NPI | 1477239234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5018277) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5018277) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5018277) | |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2025-04-15 |