| NPI | 1801596697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 26942) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 26942) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: SC APN.26942.APRN) | |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-04-11 |