| NPI | 1477909166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 298295) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MO 2016003746) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MO 2016003746) | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2025-01-23 |