| NPI | 1639522816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN225032) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX TPAN2755) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN01401) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL TPAN2755) | |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2025-04-24 |