| NPI | 1609530955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 30658) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 905082) |
| Enumeration Date | 2021-10-23 |
| Last Update Date | 2023-02-15 |