| NPI | 1699660035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC AG06250013) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC AG06250013) |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-09 |