| NPI | 1730665316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5010753) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 258502) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2021-03-24 |