| NPI | 1508429945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2022043563) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: KS 13-128339-092) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 53-81569-092) | |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2024-11-01 |