| NPI | 1902854912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 600142) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 600142) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 31932) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024184647) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 26703) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 0356970) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F34048901) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3018350) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2023-07-12 |