| NPI | 1013504836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: ID 67009) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N-34627) |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2021-01-17 |