| NPI | 1760085070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 841122) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 841122) |
| 363L00000X Nurse Practitioner (Licence: CA 95015963) | |
| 363L00000X Nurse Practitioner (Licence: KY 3015063) | |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2022-11-03 |