| NPI | 1174140529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024179558) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD AC005404) |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: VA 0024179558) | |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2025-10-10 |