| NPI | 1679134837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5011941) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 249949) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2025-10-09 |