| NPI | 1619611415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: ID 74463NP) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: WA AP61371994) |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2024-12-27 |