| NPI | 1225663677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3014417) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1128842) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2024-02-09 |