| NPI | 1619685534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN259383) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1176633) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 36993) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704420181) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO C-APN.0102805-C-NP) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IA H181146) | |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2025-01-28 |