| NPI | 1033181060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: DC RN962194) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: MD R151075) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2023-04-08 |