| NPI | 1487395125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA APRN-NP709985) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 2234971) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 8728) | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2026-05-04 |