| NPI | 1558053538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3018642) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 3018642) |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-09-13 |