| NPI | 1598327496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 23002) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 23002) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2021-04-14 |