| NPI | 1811539299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5011723) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5012426) |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2024-08-22 |