| NPI | 1235531609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704247296) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN329269) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1152261) | |
| 163W00000X Registered Nurse (Licence: IN 28287019A) | |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2025-10-12 |