| NPI | 1194305003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 9841) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 009841) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2025-05-29 |