| NPI | 1861190126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA GAA-NP002134) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 33454) |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2024-09-17 |