| NPI | 1770110454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA GAANP000678) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 31304) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2023-06-14 |