| NPI | 1740716927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 30230) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5012981) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0993052.NP) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 30230) | |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2025-01-31 |