| NPI | 1629791439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5016968) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC LANC-2SEGA) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2023-10-30 |