| NPI | 1891250262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL AG09170086) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-136869) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AL AG09170086) | |
| Enumeration Date | 2019-02-09 |
| Last Update Date | 2024-01-31 |