| NPI | 1306513635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 217351) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR 217351) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2024-11-06 |