| NPI | 1881145050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MT NUR-APRN-LIC-242130) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 113040) |
| 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-242130) | |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2024-10-30 |