| NPI | 1740956531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: DC NP1009163) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R161437) |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2025-09-02 |