| NPI | 1801869029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 1695) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 66849) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2021-06-07 |