| NPI | 1801582960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5018337) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 2023002688) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2024-11-13 |