| NPI | 1982478418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: GA 002000) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: TN 35106) |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2025-05-05 |