| NPI | 1548680051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MT NUR-APRN-LIC-100738) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 34678) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2026-01-20 |