| NPI | 1821533217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 6798) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 6798) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2021-06-07 |