| NPI | 1033755673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5021170) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 745062) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2024-12-23 |