| NPI | 1508452244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 4060372) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP95008939) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2026-08-20 |