| NPI | 1316368475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: AL 1-097262) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-097262) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: AL 1-097262) | |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2024-04-26 |