| NPI | 1811610553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA NP291729) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN291729) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2025-11-20 |