| NPI | 1558579540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 070034) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MO 070034) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2025-04-17 |