| NPI | 1144583949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R237641) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2024-04-25 |