| NPI | 1801351143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA GAA-NP000189) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 25429) |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2022-02-25 |