| NPI | 1942725833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA 204337) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 204337) |
| 363L00000X Nurse Practitioner (Licence: MS 902143) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95021792) | |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2023-11-28 |