| NPI | 1790466993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 12206) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 187128) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-09-14 |