| NPI | 1114809571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP033313) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: PA SP033313) |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-08-21 |