| NPI | 1548012958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R168475) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R168475) |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2025-10-16 |