| NPI | 1023602141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11011748) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: FL MO6738465) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2023-04-17 |