| NPI | 1528531258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5016388) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN309299) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 11559) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP020216) | |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2025-06-11 |