| NPI | 1609668540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MS 907449) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 907449) |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |