| NPI | 1740718154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA APRN-NP193197) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN193197) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2026-03-12 |