| NPI | 1699199141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-192543) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV APRN001663) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2025-03-03 |