| NPI | 1588542211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024194381) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001303602) |
| 363L00000X Nurse Practitioner (Licence: VA 0024194381) | |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-10-17 |