| NPI | 1538559190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 277.002161) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN309281) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN03074) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 13875) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0001299163) | |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2025-06-06 |