| NPI | 1700993441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: IN 71015824A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704164646) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2024-10-10 |