| NPI | 1689395642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3017009) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017009) |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2024-11-12 |