| NPI | 1841001732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024193368) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001212733) |
| Enumeration Date | 2025-01-18 |
| Last Update Date | 2025-05-16 |