| NPI | 1952118044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5021401) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 226696) |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-26 |