| NPI | 1528837507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR 215704) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR 24266821) |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2025-06-06 |