| NPI | 1962854323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 901651) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MS R901651) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2024-05-21 |