| NPI | 1982141933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 1982141933) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2017002500) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2023-06-26 |