| NPI | 1073056909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7131-33) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 7131-33) |
| Enumeration Date | 2016-11-26 |
| Last Update Date | 2022-07-21 |