| NPI | 1689189698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 23681) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 903682) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2024-01-17 |