| NPI | 1306310354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: NV APRN811893) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 811893) |
| Enumeration Date | 2019-01-13 |
| Last Update Date | 2023-04-29 |