| NPI | 1801535778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MD R206647) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R206647) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2022-05-31 |