| NPI | 1285368423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018146) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 2021103998) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2024-06-25 |