| NPI | 1801495999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 10478) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 10478-33) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2022-07-11 |