| NPI | 1902326689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 061031-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 061031-23) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2025-01-29 |