| NPI | 1598820284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 877946) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F3406351) |
| Enumeration Date | 2006-12-25 |
| Last Update Date | 2025-01-06 |