| NPI | 1548785363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5009787) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 308287) |
| 363L00000X Nurse Practitioner (Licence: VA 0024196299) | |
| 363L00000X Nurse Practitioner (Licence: MA 10026182) | |
| 363L00000X Nurse Practitioner (Licence: DC 500340534) | |
| 363L00000X Nurse Practitioner (Licence: CT 16368) | |
| 363L00000X Nurse Practitioner (Licence: NC 5009787) | |
| 363L00000X Nurse Practitioner (Licence: RI APRN0587) | |
| 363L00000X Nurse Practitioner (Licence: ME CNP261020) | |
| 363L00000X Nurse Practitioner (Licence: NH 116768-23) | |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2026-08-05 |