| NPI | 1669155198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 14203) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 14203) |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2025-05-22 |