| NPI | 1639520364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5008660) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 27183) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2026-02-03 |