| NPI | 1164138335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 4023657) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 237154) |
| 363L00000X Nurse Practitioner (Licence: KY 4023657) | |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2025-03-25 |