| NPI | 1295460459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA NP296591) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 012532) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 012532) | |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2026-07-21 |