| NPI | 1114580701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MT NUR-APRN-LIC-149639) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: ND R52997) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2025-12-15 |