| NPI | 1669905741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 20762) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 20762) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2021-12-15 |