| NPI | 1801503404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 077761-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 077761-21) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2024-08-12 |