| NPI | 1811312721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AK NURU1527) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 23781) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2023-01-25 |