| NPI | 1528602786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5012484) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5012484) |
| 363L00000X Nurse Practitioner (Licence: SC 23503) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 23503) | |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2023-01-30 |