| NPI | 1821631912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 23362) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 228752) |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2021-06-14 |